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Ethical standards for the treatment of mental health
Approaches to person centred care
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The aim of this essay is to discuss the values and beliefs, which underpin contemporary mental health nursing in Scotland. It will also express why these values and beliefs underpinned by Scottish government policy and legislation are significance in reinforcing contemporary mental health nursing in Scotland. The three main themes of discussion in this essay are: Person Centred Care Promoting Recovery Promoting Safety and Positive Risk Taking Throughout this essay, each theme includes sub-topics also discussed in detail. Referring back to evidence based practice (EBP), policy drivers like Rights, Relationships and Recovery (RRR) and Scottish government legislation, such as Mental Health (Care and Treatment) (Scotland) Act 2003. These documents are the framework, which are essential in order to support the standard of care offered to each individual using mental health services in Scotland. The definition of person centred care is to include an individual receiving treatment in all aspects and decisions of both their healthcare treatment and recovery care plan. The Nursing and Midwifery Council (2008) state that nurses should ‘make the care of the people your first concern, treating them as individuals and respecting their dignity’. In 2012, the Scottish government introduced The 10 Essential Shared Capabilities (10 Escs) It has been created to promote and reflect on progressing policy and legislation to improve person centred care, values and beliefs in Scotland. Person centred care is a driving force not only within mental health nursing but all nursing. Whilst the service user and the nurse build a therapeutic relationship and develop a care plan, which is to the service users owns specific needs and wants. It ensures th... ... middle of paper ... ...manceAndEthicsForNursesAndMidwives_LargePrintVersion.PDF. [Accessed 01 March 14].Map Scotland.gov.uk. 2011. Keeping Going. [ONLINE] Available at: http://www.scotland.gov.uk/Resource/Doc/348559/0116236.pdf. [Accessed 28 February 14]. Scottish Government. 2011. Rights, Relationships and Recovery. [ONLINE] Available at: http://www.scotland.gov.uk/Publications/2006/04/18164814/19. [Accessed 28 February 14]er The Scottish Government. 2004. Mental Health (Care and Treatment) (Scotland) Act 2003. [ONLINE] Available at: http://www.scotland.gov.uk/Publications/2004/01/18753/31686. [Accessed 01 March 14]. The Scottish Recovery Network. 2012. What is Recovery. [ONLINE] Available at: http://www.scottishrecovery.net/What-is-Recovery/what-is-recovery.html. [Accessed 01 March 14]. Wrycraft, N, 2009. An Introduction to Mental Health. 1st ed. Glasgow: Bell and Bain Ltd.
The Scottish Government [TSG] (2005). National Care Standards - support services (revised march 2005) [PDF] available at The Scottish Government website; scotland.gov.uk/Resource/Doc/239525/0066023.pdf
Schizophrenia is a deteriorating progressive disease, consequently, it is resistant to treatment for the individual suffering schizophrenia. (Catts & O’Toole, 2016). In most cases the individuals suffering from schizophrenia, are resistive to treatment, in most cases, individuals suffering from schizophrenia, and are resistive in taking antipsychotics. (Catts & O’Toole, 2016). Jeremy doesn’t see himself as a “schizophrenic”, he states that “he’s happy naturally”, and often he’s observed playing the guitar and doing painting in his room. Weekly, he has an intramuscular medication to treat his disorder, crediting the support of his wife. It is indicated that the morality rate, in patients suffering from schizophrenia is higher, despite the considerable resources available, in Australia. New data show that in 20 countries, including Australia, only 13.5% meet the recovery criteria, which means that 1or 2 patients in every 100, will meet this criteria per year. (Catts & O’Toole, 2016). This means that there’s a decline in providing support and services to individuals like Jeremy suffering from a mental illness such as Schizophrenia. Many individuals become severely ill before they realise they need medical treatment, and when receiving treatment it is usually short-term. (Nielssen, McGorry, Castle & Galletly, 2017). The RANZCP guidelines highlights that
The CPA is a care management process for people with mental health and social care needs, including managing associated risks. The CPA main elements are: Assessment, Care coordinator, Care planning, Review, Transfer and Discharge. The National Standard Framework for Mental Health introduced it to supply a framework for effective mental health care (DOH, 1999; DOH, 2008; Gamble, 2005). Under CPA, John may use an Advance statement to illustrate his personal preferences and what he would like to happen in regards to his personal and home life should they come to lack capacity. These are important mechanisms for safeguarding and promoting a patient’s interests and health. The CPA is grounded in values and principles that are central to personalisation brought about when in March 2008 ‘Refocusing the Care Programme Approach’ was issued. This updated guidance highl...
The purpose of this assignment is to demonstrate my reflection and understanding in the Role of the Mental Health Nurse in an episode of care supporting and promoting the recovery of service users. According to the National institute for Mental Health (2004) recovery is a process to restore something or return to a state of wellness, is an achievement of quality of life that is acceptable to the person (Ryan 2012).
Newell, R. Gournay, K (2000) Mental Health Nursing - An evidence based approach. London: Churchill Livingstone.
Discharge planning for these patients into the community does not consider living in shelters and assisted living facilities. The revolving door situation creates negative outcomes for patients and organizations. These organizational alternative housing services do not provide medication supervision, therefore adherence to medication regimen and treatment is not provided to them. Consequently, they return to hospitals seeking follow-up treatment. Unfortunately exacerbation of mental illness symptoms is inevitable reflected from premature discharge and inadequate follow-up care. It is imperative that all patients receive proper treatment and discharge plan. Providing discharge instructions to patients for transitioning to independent living and self-care is not sufficient. Proactive health interventions and planning organizational strategies are needed to improve health outcomes for patients who are living in health care institutions (National Health Care for the Homeless council,
A positive care environment is reinforced by legislation and national care standards implemented by the Scottish Government. Legislation such as, Data Protection Act 1998, Mental Health (Care and Treatment) (Scotland) Act 2003, Health and Safety at Work Act 1974, GIRFEC (Getting it right for every child) and the Regulation of Care (Scotland) Act 2001 put safeguards in place to give the service user legal rights.
Walker, S. (2008). Social work and child and adolescent mental health. Dorset: Russell House Publishing Ltd.
At the beginning of Lisa’s admission, performing a comprehensive and holistic psychiatric assessment is a vital role of a mental health nurse. This process will help the nurse to gather more information in response to client’s presenting condition and aspects of her life, such as living conditions, finances, support system, symptoms and overall physical health and to decide for the treatment plan (Reavley, Morgan, Jorm, 2014). The purpose of the comprehensive assessment is to communicate with the patient and establish a therapeutic relationship in order to identify the underlying concerns, to clarify the client’s mental health concerns, and to rule out any risk towards herself and others (Harder, Munro, Gaynor, 2014). Moreover, it is also a chance to assess Lisa’s history, her presenting problem and or issues, her family history, and the availability of social and family support that can help in her treatment plan (Harder, Munro, Gaynor, 2014).
Mental health is an issue that has been bombarded with unanswered questions and cursed with a social stigma. Throughout history this has created a social divide between mental health issues and the mainstream media. This disparity doesn’t only create a social separation, but a lapse in ethics, making it tolerable to look down on people in the mental health community. Historically, patients have been placed or forced into mental institutions in order to “cure” them of their mental obscurity so that they can function normally in the society, yet for centuries this has proven to be an ongoing struggle for the mental health community. With all of the new advancements in medicine and our ability to cure more physical and mental ailments than
Wilkin P & Baker P (2004) “The Craft of Caring” Psychiatric and Mental Health Nursing, Arnold Press, London page 26-33
People affected by mental illness and impairments are among the most over-represented, vulnerable and disadvantaged members of the community in relation to the criminal justice system. These people are entitled to rights and services that are constantly being denied, due to widespread stigmatisation and discrimination associated with mental illnesses. The disproportionate interaction of people affected by mental illnesses with the justice system is adversely affecting their prospects for fair treatments, costing the community as a whole. This paper will analyse the effectiveness of current laws applying to people affected by mental illnesses, as well as providing a history of mental health
The standards of psychiatric and mental health nursing were first developed in 1995 to create a document that would describe the expectations of a mental health nurse. The standards put forth behaviours expected of professional nurses by incorporating vital information and new trends in the field, and linking these to expected outcomes (CFMHN, 2006). The teaching-coaching function standard is of great importance to the mental health field as it promotes nurses to understand the client's individual needs, supports learning related to those needs, and promotes self-reliance in aiding clients and families to acquire greater ease in living with their mental illness and the accompanying effects (Lawlor, n.d.). Such teaching provides the nurses with a chance to make a difference ...
Primarily, the plan focuses on a significant increase in the NHS funds that will be dedicated to mental health treatments. This monetary upsurge will subsidize many improvements enabling the mentally ill to utilize the twenty-four-hour mental health liaison team (NHS, 2017). Additionally, two-hundred-thousand more people will receive therapy from the fifteen-hundred new primary therapists, and nine-thousand more new mothers and mothers-to-be will be helped by the twenty additional “specialist mental health teams” by 2018/19 (NHS, 2017). While there are many specific developments to made, the NHS’s overall goal is to “drive towards an equal response to mental and physical health” (NHS,
Social and financial disadvantages are common among people with mental a disorder and have great impact on their quality of life. However, these disadvantages are not the only hardship that they have to face in their daily life. In fact, stigma and discrimination against people with mental a disorder can be worse than the mental health condition itself. They are a big barrier in the rehabilitation process and the journey towards life chances of these individuals. Public stigma, self-stigma and discriminatory behaviours all contribute to the daily struggles and build on top of the pre-existing challenges that they face in dealing with their mental health condition.